DXCC Challenge Plaque
dxcc Challenge Plaque / Lapel Pin Order Form The american radio Relay league 225 Main Street Newington, Connecticut, USA 06111 Phone: 860-594-0200 Fax: 860-594-0346 E-mail: Congratulations! Now that you have qualified for the dxcc Challenge , you can proudly display this accomplishment on your shack wall. To order the Plaque , please complete and return this form to the dxcc Desk at the address above. You can also order by phone, fax or e-mail. Please allow 4-6 weeks for delivery in the US and Canada and 6-8 weeks for foreign delivery. Thank you for your support and continued interest in the dxcc Program. PLEASE CLEARLY PRINT NAME AND CALLSIGN (AS YOU WANT THEM TO APPEAR ON THE Plaque ) AND YOUR COMPLETE MAILING ADDRESS BELOW Callsign ____________________________ Name ____________________________________ (as to appear on Plaque ) Address ________________________________________ ______________________________ ________________________________________ ______________________________ City __________________________ State _________ Postal Code _______Country ________ E-mail Address _________________________________ Telephone# _____________________ I q
DXCC Challenge Plaque / Lapel Pin Order Form The American Radio Relay League 225 Main Street Newington, Connecticut, USA 06111 Phone: 860-594-0200
Download DXCC Challenge Plaque
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